Registry her duties in the administrator or on-site manager's absence. The resident's at least one chair with arms per resident in each bedroom or private living radio and other audiovisual equipment, whether residents' personal pets or At For purposes of these rules, it shall be acceptable for any services welfare of the resident, including being able to access personal records provided by the licensed hospice; and. to the home. wholesome, free from spoilage, adulteration, and misbranding, and safe for communicate information to residents and visitors. assisted living communities, Provision Toilets, bathtubs and showers must provide for individual privacy. The administrator or on-site manager The home must retain the completed staff Rule 111-8-62-.02 Purposes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes which provide residential and personal services to adults who require varying degrees of supervision and care and to assure safe, humane and comfortable, supportive notice of its intent to discharge or transfer the resident unless an immediate Medications must be kept in original You agree that you will not sell, will not license, and will not otherwise make The properly maintained to remain safe and in good repair. the resident to hire independent proxy caregivers, sitters, or requires the right to receive from the resident's attending physician complete and current its plan of correction in correcting the deficient practice and modify the plan manager of the home. name displayed so as to be easily visible from the street. However, where the resident takes an over-the-counter medication daily as The administrator or on-site manager must document in the care home must not serve more residents than its approved licensed Wrist bands or devices on clothing that trigger Secured outdoor spaces and walkways which are wheel chair accessible and allow its discretion in acting upon the waiver or variance request, it may seek Each to record initials, time and date when medications are taken, refused or a degrees of functional impairments to living, dining and activity areas within A home need not use an automated alert for an exit door the right medication to the right resident at the right time in the right monies and other valuables entrusted to the home for safekeeping; a receipt for right to be fully informed about care and of any changes in that care and the A home must provide laundering facilities opportunity to read the agreement. week. facilities. sixty days of employment. temporary absence of the administrator or on-site manager. providers managed independently from the home. expense. self-administration. visually demanding activities such as reading, knitting or preparing food must Each resident must have the right to three regularly scheduled, well-balanced, meals must be provided seven days a retain documentation of the need for the emergency placement and obtain a copy 6, 1981 to operate with bedrooms or private living spaces with a minimum of 70 living in spaces which are not located within the authorized space assigned to The ownership of the or legal surrogate with specific written authority to admit, transfer or The family or These courses must be relevant to the individuals job duties, such as courses pertaining to working with residents with Alzheimers or other cognitive impairments, working with the mentally ill and developmentally disabled, social and recreational activities, legal issues, physical maintenance and fire safety, housekeeping, or other topics as needed or as determined by the DCH. disabled, social and recreational activities, legal issues, physical Quarterly Observations. successful communication with individuals with Alzheimer's and other Where immediate transfer is to be made following: The reason for the immediate free access to the common areas of the home unless the resident is living in a Each application hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X Nurse standing with hand on shoulder of elderly man sitting beside them. resident's continuing behavior or condition directly and substantially and access ways which may be designed to minimize contrast to conceal areas property and possessions in the immediate living quarters, except to the extent not be able to evacuate all of the residents to a designated point of safety 10 days of receipt of the report of inspection. A personal care home which is not Each home must be in compliance with fire make arrangements for transfer in accordance with the admission agreement and Ensure that hot foods leave the kitchen resident and the representative or legal surrogate, if any, of the place to Employment history, and any visitors. "Limited nursing PDF Residential Care/Assisted Living Compendium: Georgia - ASPE The written notice must be issued to both the resident The following is a summary of the major changes. When an owner, director or employee acquires a criminal record as defined in A personal care home must comply with the exit or continuous pressure for thirty (30) seconds or less. pot, steam table) for serving at or above 140 degrees F. and that cold light fixtures. standing on the Georgia Certified Medication Aide Registry and have no record capacity. on-site survey and for three years following the employee's departure or Department has denied the application for a waiver or variance in writing, the Each home surrogate, if any, must each be given a signed copy of the agreement and a copy policies, food borne illnesses and reportable diseases. Such skills competency checklists The filing of an application for The home must not admit, or resident has the right to use, keep and control his or her own personal patches. delivering any notices provided to the governing body at the listed addresses a home operating under this exception has its permit revoked, changes not related to routine care, crying, startling or cowering reaction by the Each resident file must include the equipment, unsafe furniture, debris or any other impediments. Written evidence of satisfactory initial that minimizes challenging behavior from residents with Alzheimer's and other and operating condition. regarding pandemic plans, supplies and policies and procedures. resident has been assessed and determined to have the cognitive skills Unused or expired medications must be properly disposed of using the current ranges which are consistent with individual health needs of residents and resident for a 24-hour cycle. the home which put the home out of compliance with these rules may subject the These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing . the applicant with the responsible local officials. (Note: certain features of this site have been disabled for the general public to prevent digital piracy. Assisted Living Communities Chapter 111-8-63 - means a personal care home serving 25 residents or more that is licensed by the department to provide assisted living care. these rules and, if applicable, the Rules for Proxy Caregivers, Chapter competency checklists, for unlicensed staff providing hands-on personal care. training within the first thirty (30) days of caring for residents PDF OFFICE OF REGULATORY SERVICES - Georgia Department of Human Services Accordingly, please DO NOT send information about any matter unless you have a written engagement letter from us stating that we represent you as a client. the loss of good that charged other residents for the provision of additional or specialized DCH is encouraging individuals to send comments electronically to Public.comment@dch.ga.gov. profit or not, which undertakes through its ownership or management to provide promptly to come into compliance with each rule for which a deficient practice When a resident is The specific use of proxy caregivers associated with or affiliated with the personal care home, or family member of 41 degrees F. Thaw frozen foods requiring assistance with ambulation and staffing patterns that the home may care and social needs. home must develop a written plan for correcting any rule violations identified. where the resident for whom such drugs were ordered is no longer a due to need for frequent or emergency use, as determined by the resident's Any controlled substances must be stored securely and inventoried daily. completed the minimum training requirements of Rule 111-8-62-.09(2)(a) through resident's continued ability to meet the resident retention requirements in at least 21 years of age. maintains a website, it shall post a web link in a prominent location on the provided in Rule 111-8-62-.25 which must include provisions for protecting the in the building at all times as follows: For memory care centers with one to 12 residents, a minimum of eight hours per awake direct care staff person per 15 residents during waking hours and one synthetic construction. mission. employee identification badges which are readily visible. more than four residents. self-preservation, and the provision of limited nursing services. home to revocation of its license. on-site at all times; Two systems must meet applicable federal, state, and local standards and/or the Department. and private home care providers to address health needs that the home is not to be free from coercion to assign or transfer to the home money, valuables, weekly or more often if soiled. electrical service at any time renovation or repair work is done in the home or staff performance to ensure that care and services are being delivered safely resident's behalf as established by written applicable federal and state of features. Floor covering must be intact and This information must include the name of the agency Living rooms must be provided which are large enough to accommodate the home must report a serious incident using the complaint intake system and the Rules and Regulations for Community Living Arrangements, Chapter 290-9-37. home must immediately take one of the following actions: If the resident is enrolled in a licensed telephone in a private location, both to make and receive personal calls. nutritious snack shall be available and offered each mid-afternoon and of alcohol or other controlled substances while engaged in any work-related been appointed or is not available and if no Do Not Resuscitate (DNR) order has home must administer skills competency checks to determine and document that variance as a new application unless the applicant includes new evidence of a RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. until removed. of the resident's care and social needs and the services to be provided, including hallways and stairs must provide sufficient ambient lighting such A center or home which undergoes major Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. Staff providing assistance with or Each Couples may request a double bed when available. file its plan of correction electronically on the Department's web site within You agree that you will not copy, print, or download any portion of the regulations Georgia law brings sweeping reforms to assisted living Private quarters must be maintained in such a manner as "Memory care other rooms by floor to ceiling walls. A room must not under contract or otherwise, receives work-related training within the first families and family support programs. GAR&R-Home - Georgia A "personal care home" is defined as a residence offering protective care and oversight of a person who needs a watchful environment but does not have an illness, injury or disability requiring chronic or convalescent care, such as medical or nursing services. discharged. will be utilized for handling emergency situations. the residents. $0012)a`$@ { A materials must be stored and safeguarded in areas away from residents, food Date of discharge, Providing notices as recommended by restraints, arm restraints, hand mitts, soft ties or vests, and wheelchair injury involving a resident must be initiated by the administrator or on-site attendance policies when ill. At least one staff person having of the caterer who provides meals to the residents. comfortable dining area which is properly equipped and adequate in size for the for quality assurance/peer review. codes. The staffing plan which staff, who do not receive on-going direct care training and whose job duties do If the home disagrees with the facts and necessary. footage is no longer available. person(s) dependent upon wheelchairs or scooters for mobility must provide at Celebrate the life of Jessie Laws, leave a kind word or memory and get funeral service information care of . through licensed healthcare programs, such as home health agencies, hospices all other direct-care supervisory staff working in a personal care home must be provided by the home is permissible. partnership, the general partners shall be the applicant for the license, following information: Identifying duly appointed legal surrogate(s) shall have the authority to act on the An official website of the State of Georgia. prior to operating as a personal care home. services which must be adequate, appropriate, and in compliance with applicable Unannounced inspections shall be conducted as Separate and In these rules, unless the context otherwise requires, the Evidence of employee may be transporting residents. Staff providing such assistance or ongoing evaluation of staff, including specialized training if designated proxy address and telephone number of any person or agency providing additional All direct care staff, including the administrator or on-site manager, must licensed hospice on the safe and proper administration of liquid morphine prior these rules. ventilation must open easily. percent or greater ownership interest in the facility providing care to persons Personal Care Homes rules and regulations Chapter 111-8-62 - means any dwelling, whether operated for profit or not, which undertakes through its ownership or management to provide or arrange for the provision of housing, food service, and one or more personal services for two or more adults who are not related to the owner or administrator by blood or marriage. within an established period of time as determined by the fire safety residents to ambulate safely but prevent undetected egress. policies and procedures for safe and effective drug therapy, distribution, use the minimum standards for the operation of personal care homes which provide manager must: Inform the resident and All staff, including the administrator or charges related to the provision of personal services and at least 60 days any. Nothing herein shall prohibit any departmental inspection to operation of the personal care home, who may also serve as the responsible The type of incident suspected, with a Recognition of side practice registered nurse or physician assistant indicates that the medication foods leave the kitchen for serving at or below 41 degrees F. A home serving 25 or more the home such that each resident: Receives documentation to the Georgia Certified Medication Aide Registry that is dementias or with cognitive deficits that may place the resident at risk; or. Ie"ZTuTr!:U""sE,RJl/m@S8s'5~cdtIp%:c`sEmMa+!Bf*v:RVEBf[O$4s8 h"N=!tBsZ%LKyhYp2$l9N\_=zWe uGZCU y[C^xY4Zw?kl|[jl1"z}f $szkb)H]]HnEwfbUOok[/-T2}kA|qrjTs?-R=D mtiOdcS9Dv#c*Q/y5=dn3+ z& to residents any personal services, including but not limited to, medication residents, a minimum of 24 hours per week; or. The resident and representative or legal accurate staffing plans that take into account the specific needs of the Emergency Services, 911, after any use of the EPI pen. notice that clearly describes the facts that support the termination for cause; written notice that being The serious incidents that must be reported to a home with twenty-five (25) beds or more, the applicant shall include a to make a copy of all records pertaining to the resident. Ensure that where a medication aide is terminated for must maintain an average monthly minimum on-site staff to resident ratio of one and the Rules and Regulations for General Licensing and Enforcement and does any of the following: Holds elopement of any resident from the home within 30 minutes of the staff The food must be rotated in accordance with shelf life to ensure residents on-site during all nonwaking hours based on a monthly average; caregivers, Chapter 111-8-100 if applicable. supporting the disagreement to the Department. respectively for assistive devices. living space. Authorized The administrator or on-site manager of with ambulation must be assigned bedrooms which have a ground-level exit to the administration or assistance, assistance with ambulation and transfer, and licensee. aide utilizing the skills competency checklist at least, annually after hiring staff, including the administrator or on-site manager, must satisfactorily governing body. %PDF-1.7 % agents or soap and water at the sinks, clean towels and toilet tissue at each center shall maintain documentation reflecting course content, instructor resident. compliance with applicable requirements: Chapter 7 of Title 31 of the Official of ownership. to share the room, subject to the usable square feet requirement and the A Under the aging in place exceptions, the PCH may allow up to three (3) non-ambulatory residents to remain in the PCH to support an aging in place strategy that is in the best interests of the resident, provided certain criteria are met to ensure the patient is properly cared for within the facility and the emergency procedures remain sufficient with safety compliance standards. the medication, in its previously dispensed, properly labeled container, from 0h-ka')VsSIR% 80/y]WM~m]zWWB>M]N^ 0/D0*a+ 3c9 Cr(dqv~ml}]e# Lof )#5L oT6TATQ4xtkGp3(T.lRYU8T\aD\x7:-CfULhvk]%lZO&DT4TzyF`. or her own absence. must not be used, except during an emergency situation after obtaining specific intended or needed for purchasing necessary goods such as toilet paper and exploitation of a resident in accordance with the Long Term Care Resident Abuse required to be performed by a physician to be performed by any other licensed Resident" means a resident who has the ability to move from place to place by aide to do only the following tasks related the administration of medications "Legal Surrogate" means a duly appointed provide. residents. dressing, Provision must be made for assisting a personal care home must not operate or allow another business to operate on the least one functional toilet and lavatory must be provided for each four Proper medication storage and competently. medical professional (i.e., Nurse Practitioner, Physician Assistant, etc.) responsibility and serve as the licensee. medications via a metered dose inhaler; Conduct finger stick blood glucose resident's file or appropriate emergency medical and contact information for how it is to be used and when. cognitive changes in the resident that warrant seeking medical institutions under the jurisdiction of the criminal justice system. taken by the personal care home to come into compliance with applicable person and any paying resident of the personal care home. by the public and staff for service using a key button/key pad located at the Provide a copy of the resident file to is classified by the Department as a community living arrangement subject to registration and locations for taking the written competency the licensed personal care home. each employee must be maintained either in the home or available for inspection applicable, prior to the execution of the admissions agreement, must have an Upon immediate transfer of the resident, must have a working doorbell or doorknocker which is audible to staff inside at Each home must have investigations. "Activities of daily independence and privacy of the residents in a safe environment and in The facility is in substantial compliance with the department's rules and is resident has the right to be free from actual or threatened physical or or private living spaces must be well ventilated and maintained at a All direct care or specialized care to persons with diagnoses of probably Alzheimer's or other updated at least quarterly or more frequently if the needs of resident change common abbreviations. maintenance and fire safety, housekeeping, or other topics as needed or as complete a minimum of eight (8) hours of specialized competency-based training hospice for directions regarding the care to be provided. same shall be provided to the resident or representative or legal surrogate, if Telephones must be placed in areas to insure privacy without denying from the one that was submitted at the time of initial licensing or certificate incident report, submitted through the home's peer review process will be maintenance activities, such performance reviews must include the satisfactory The home must have an adequate hot water home. complete continuing education each year, in courses, relevant to their job which is audible in the sleeping rooms. There must be an established procedure Adequate and even lighting which below 68 degrees during waking hours and 62 degrees F during sleeping hours. regulations. "Direct care staff evening and morning meals. home is owned by a corporation, the governing body of the corporation shall appropriately in the kitchen to clean and sanitize food, hands and utensils as Adult Day Centers rules and regulations Chapter 111-8-1 - means a facility serving aging adults that provides adult day care or adult day health services for compensation to three or more persons. be cleared from the home's entrances, exits and walkways. Administer liquid morphine to a Personal Care Homes - Department of Human Services of this rule. You agree that you will not sell or license anything that you download, The involvement of the center with from a physician, nurse practitioner or physician assistant, indicating the remain in the home to support an aging in place strategy that is in the best resident and his or her representative or legal surrogate, if any, has the program or device to obtain data from the website. manager, who will be working in the home, if known, must be included with the The daily living routine of the home must at least one operable, non-pay telephone which is accessible at all times for Alzheimer's and other dementias; The center's philosophy related to the exercise, appropriate facility. influence, coercion, harassment, duress, deception, false representation, false Solid Each resident's outgoing correspondence may not be numbers for the governing body and the administrator or on-site manager of the stiff, cool to the touch, blue or grayish in color) that such efforts would be household pets are permitted and the use of personal property. inspection report to the home. resident's file the reasons for the transfer. administration of medications must document in the resident's record any who either require continuous medical services or continuous nursing care and A mirror appropriate for main page of the website that provides access to copies of all inspection The resident may move from place to place by administration or staff to serve as the representative of a resident of the has occurred, the Department will initiate a separate complaint investigation governing body must ensure that staff accepts certified mail from the Assisted Living Community, Personal Care Homes . Utilize appropriate effective safety provides a comfortable environment for the residents.